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Total hip arthroplasty is a surgical procedure that restores mobility and structure when other treatments for osteoarthritis of the hip fail. But, would the founder of osteopathic medicine, A.T. Still, MD, DO, have condemned or lauded an intervention capable of restoring structure and mobility at the cost of sawing the femur, reaming the acetabulum, and hammering in an implant? Does the body’s inherent capacity to repair itself1 supersede Still’s belief that, “[l]ike a machine, the body can function efficiently only when in proper adjustment…”?2 The answer to this question relies on the very advantage that osteopathic philosophy offers to the rapidly evolving field of medicine. Successful application of Still’s principles in modern medicine, in a way that offers competitive treatment options for patients, will decide the fate of the profession. Now more than ever, the teachings of Still and other leaders in the osteopathic medical profession hold the utmost importance.